ACNM Department of Advocacy and Government Affairs Grassroots Advocacy Resources State Fact Sheet: Alabama
|
|
- Helena Murphy
- 8 years ago
- Views:
Transcription
1 ACNM Department of Advocacy and Government Affairs Grassroots Advocacy Resources State Fact Sheet: Alabama The American College of Nurse- Midwives (ACNM) is the national organization representing the interests of certified nurse- midwives (CNM) and certified midwives (CM) practicing in the United States. CNMs and CMs are highly trained providers who earn graduate degrees and must pass a national certification examination to demonstrate that they meet ACNM's core competencies, which meet or exceed international recommendations for midwifery care. Midwives are trained to offer a full range of primary health care services for women from adolescence beyond menopause. Number of AMCB Certified Midwives, 2014: 46 Number of CNM/CM Attended Births, 2013: 969 Percent of CNM/CM Attended Births, 2013: 1.67% Midwifery services are provided in partnership with women and families in diverse settings such as ambulatory care clinics, private offices, community and public health systems, homes, hospitals and birth centers.according to the CDC, in 2012 the vast majority of midwifery- attended births occurred in the hospital setting (94.8%). Other birth locations included birth centers (2.6%), home births (2.6%), and approximately 0.1% in a clinic or other setting. Number of Birth Centers in State, 2014: 0 A 2012 meta- analysis of midwifery outcomes when compared to labor and delivery care provided by physicians concluded that there was no difference in CNM versus MD care and, for some variables, that midwifery care demonstrated better outcomes. The study concluded that midwifery care "is safe and effective" and urged that midwives "should be better utilized to address the projected health care workforce shortages." ACNM considers the scope of midwifery practice to include primary care, gynecologic and family planning services, preconception care, care during pregnancy, childbirth and the postpartum period, care of the normal newborn during the first 28 days of life, and treatment of male partners for sexually transmitted infections. Midwives provide initial and ongoing comprehensive assessment, diagnosis and treatment. They conduct physical examinations; prescribe medications including controlled substances and contraceptive methods;
2 admit, manage and discharge patients; order and interpret laboratory and diagnostic tests and order the use of medical devices. Midwifery care also includes health promotion, disease prevention, and individualized wellness education and counseling. State Scope of Practice Statement: The practice of midwifery in Alabama is defined as "care for the mother during pregnancy and labor providing continuous physical and emotional support and continuous evaluation of progress throughout labor and delivery" [Ala. Code ]. Regulatory Environment (Autonomous Practice, Collaborative Requirement, or Supervisory): Alabama requires a collaborative agreement as a condition for practice. Medicaid Coverage: Medicaid covers approximately half of all births in the United States, with the percent ranging from 20 to over 60 percent among states. As such, it is a key payer for midwifery services and it is critical that midwives understand when their patients may qualify for Medicaid coverage, what services are covered, and how to get paid for their services to Medicaid beneficiaries. The fee- for- service Medicaid reimbursement rate for midwives is currently 80% of the physician rate. Regulatory Board: Joint Committee of the Board of Nursing and Board of Medical Examiners Recognized Midwifery Credentials: CNM Midwifery Education Programs: None Currently
3 ACNM Department of Advocacy and Government Affairs Grassroots Advocacy Resources State Fact Sheet: Alaska The American College of Nurse- Midwives (ACNM) is the national organization representing the interests of certified nurse- midwives (CNM) and certified midwives (CM) practicing in the United States. CNMs and CMs are highly trained providers who earn graduate degrees and must pass a national certification examination to demonstrate that they meet ACNM's core competencies, which meet or exceed international recommendations for midwifery care. Midwives are trained to offer a full range of primary health care services for women from adolescence beyond menopause. Number of AMCB Certified Midwives, 2014: 83 Number of CNM/CM Attended Births, 2013: 3,063 Percent of CNM/CM Attended Births, 2013: 26.80% Midwifery services are provided in partnership with women and families in diverse settings such as ambulatory care clinics, private offices, community and public health systems, homes, hospitals and birth centers.according to the CDC, in 2012 the vast majority of midwifery- attended births occurred in the hospital setting (94.8%). Other birth locations included birth centers (2.6%), home births (2.6%), and approximately 0.1% in a clinic or other setting. Number of Birth Centers in State, 2014: 9 A 2012 meta- analysis of midwifery outcomes when compared to labor and delivery care provided by physicians concluded that there was no difference in CNM versus MD care and, for some variables, that midwifery care demonstrated better outcomes. The study concluded that midwifery care "is safe and effective" and urged that midwives "should be better utilized to address the projected health care workforce shortages." ACNM considers the scope of midwifery practice to include primary care, gynecologic and family planning services, preconception care, care during pregnancy, childbirth and the postpartum period, care of the normal newborn during the first 28 days of life, and treatment of male partners for sexually transmitted infections. Midwives provide initial and ongoing comprehensive assessment, diagnosis and treatment. They conduct physical examinations; prescribe medications including controlled substances and contraceptive methods;
4 admit, manage and discharge patients; order and interpret laboratory and diagnostic tests and order the use of medical devices. Midwifery care also includes health promotion, disease prevention, and individualized wellness education and counseling. State Scope of Practice Statement: The Alaska Board of Nursing, through its regulations, recognizes the scope of practice statements of national certification bodies recognized by the Board. CNM scope of practice in Alaska is therefore defined by the American College of Nurse- Midwives (ACNM) Standards for the Practice of Nurse- Midwifery [Alaska Admin. Code tit. 12, ]. Regulatory Environment (Autonomous Practice, Collaborative Requirement, or Supervisory): Alaska is an independent practice state, meaning any required relationships with a physician or other provider do not rise to the level of a contractual agreement. Medicaid Coverage: Medicaid covers approximately half of all births in the United States, with the percent ranging from 20 to over 60 percent among states. As such, it is a key payer for midwifery services and it is critical that midwives understand when their patients may qualify for Medicaid coverage, what services are covered, and how to get paid for their services to Medicaid beneficiaries.the fee- for- service Medicaid reimbursement rate for midwives is currently 85% of the physician rate. Regulatory Board: Board of Nursing Recognized Midwifery Credentials: CNM, CPM Midwifery Education Programs: None Currently
5 ACNM Department of Advocacy and Government Affairs Grassroots Advocacy Resources State Fact Sheet: Arizona The American College of Nurse- Midwives (ACNM) is the national organization representing the interests of certified nurse- midwives (CNM) and certified midwives (CM) practicing in the United States. CNMs and CMs are highly trained providers who earn graduate degrees and must pass a national certification examination to demonstrate that they meet ACNM's core competencies, which meet or exceed international recommendations for midwifery care. Midwives are trained to offer a full range of primary health care services for women from adolescence beyond menopause. Number of AMCB Certified Midwives, 2014: 190 Number of CNM/CM Attended Births, 2013: 5,568 Percent of CNM/CM Attended Births, 2013: 6.51% Midwifery services are provided in partnership with women and families in diverse settings such as ambulatory care clinics, private offices, community and public health systems, homes, hospitals and birth centers.according to the CDC, in 2012 the vast majority of midwifery- attended births occurred in the hospital setting (94.8%). Other birth locations included birth centers (2.6%), home births (2.6%), and approximately 0.1% in a clinic or other setting. Number of Birth Centers in State, 2014: 6 A 2012 meta- analysis of midwifery outcomes when compared to labor and delivery care provided by physicians concluded that there was no difference in CNM versus MD care and, for some variables, that midwifery care demonstrated better outcomes. The study concluded that midwifery care "is safe and effective" and urged that midwives "should be better utilized to address the projected health care workforce shortages." ACNM considers the scope of midwifery practice to include primary care, gynecologic and family planning services, preconception care, care during pregnancy, childbirth and the postpartum period, care of the normal newborn during the first 28 days of life, and treatment of male partners for sexually transmitted infections. Midwives provide initial and ongoing comprehensive assessment, diagnosis and treatment. They conduct physical examinations; prescribe medications including controlled substances and contraceptive methods;
6 admit, manage and discharge patients; order and interpret laboratory and diagnostic tests and order the use of medical devices. Midwifery care also includes health promotion, disease prevention, and individualized wellness education and counseling. State Scope of Practice Statement: Certified nurse- midwives (CNM) in Arizona are regulated as a category of registered nurse practitioner (RNP) by the Board of Nursing. CNMs are noted to have an expanded scope of practice within a specialty area that includes: (i) Assessing clients, synthesizing and analyzing data and understanding and applying principles of health care at an advanced level. (ii) Managing the physical and psychosocial health status of clients. (iii) Analyzing multiple sources of data, identifying alternative possibilities as to the nature of a health care problem and selecting, implementing and evaluating appropriate treatment. (iv) Making independent decisions in solving complex client care problems. (v) Diagnosing, performing diagnostic and therapeutic procedures, and prescribing, administering and dispensing therapeutic measures, including legend drugs, medical devices and controlled substances within the scope of registered nurse practitioner practice on meeting the requirements established by the board. (vi) Recognizing the limits of the nurse's knowledge and experience and planning for situations beyond the nurse's knowledge, educational preparation and expertise by consulting with or referring clients to other health care providers when appropriate. (vii) Delegating to a medical assistant pursuant to (viii) Performing additional acts that require education and training as prescribed by the board and that are recognized by the nursing profession as proper to be performed by a nurse practitioner [Ariz.Rev. Stat. Ann ]. Regulatory Environment (Autonomous Practice, Collaborative Requirement, or Supervisory): Arizona is an independent practice state, meaning any required relationships with a physician or other provider do not rise to the level of a contractual agreement. Medicaid Coverage: Medicaid covers approximately half of all births in the United States, with the percent ranging from 20 to over 60 percent among states. As such, it is a key payer for midwifery services and it is critical that midwives understand when their patients may qualify for Medicaid coverage, what services are covered, and how to get paid for their services to Medicaid beneficiaries. The fee- for- service Medicaid reimbursement rate for midwives is currently 90% of the physician rate. Regulatory Board: Board of Nursing Recognized Midwifery Credentials: CNM, CPM
7 Midwifery Education Programs: None Currently
8 ACNM Department of Advocacy and Government Affairs Grassroots Advocacy Resources State Fact Sheet: Arkansas The American College of Nurse- Midwives (ACNM) is the national organization representing the interests of certified nurse- midwives (CNM) and certified midwives (CM) practicing in the United States. CNMs and CMs are highly trained providers who earn graduate degrees and must pass a national certification examination to demonstrate that they meet ACNM's core competencies, which meet or exceed international recommendations for midwifery care. Midwives are trained to offer a full range of primary health care services for women from adolescence beyond menopause. Number of AMCB Certified Midwives, 2014: 34 Number of CNM/CM Attended Births, 2013: 210 Percent of CNM/CM Attended Births, 2013: 0.56% Midwifery services are provided in partnership with women and families in diverse settings such as ambulatory care clinics, private offices, community and public health systems, homes, hospitals and birth centers.according to the CDC, in 2012 the vast majority of midwifery- attended births occurred in the hospital setting (94.8%). Other birth locations included birth centers (2.6%), home births (2.6%), and approximately 0.1% in a clinic or other setting. Number of Birth Centers in State, 2014: 1 A 2012 meta- analysis of midwifery outcomes when compared to labor and delivery care provided by physicians concluded that there was no difference in CNM versus MD care and, for some variables, that midwifery care demonstrated better outcomes. The study concluded that midwifery care "is safe and effective" and urged that midwives "should be better utilized to address the projected health care workforce shortages." ACNM considers the scope of midwifery practice to include primary care, gynecologic and family planning services, preconception care, care during pregnancy, childbirth and the postpartum period, care of the normal newborn during the first 28 days of life, and treatment of male partners for sexually transmitted infections. Midwives provide initial and ongoing comprehensive assessment, diagnosis and treatment. They conduct physical examinations; prescribe medications including controlled substances and contraceptive methods;
9 admit, manage and discharge patients; order and interpret laboratory and diagnostic tests and order the use of medical devices. Midwifery care also includes health promotion, disease prevention, and individualized wellness education and counseling. State Scope of Practice Statement: The practice of nurse- midwifery in Arkansas is defined as "the performance for compensation of nursing skills relevant to the management of women's health care, focusing on pregnancy, childbirth, the postpartum period, care of the newborn, family planning, and gynecological needs of women, within a health care system that provides for consultation, collaborative management, or referral as indicated by the health status of the client" [Ark. Code Ann ]. Regulatory Environment (Autonomous Practice, Collaborative Requirement, or Supervisory): Arkansas requires a collaborative agreement as a condition for practice. Medicaid Coverage: Medicaid covers approximately half of all births in the United States, with the percent ranging from 20 to over 60 percent among states. As such, it is a key payer for midwifery services and it is critical that midwives understand when their patients may qualify for Medicaid coverage, what services are covered, and how to get paid for their services to Medicaid beneficiaries.the fee- for- service Medicaid reimbursement rate for midwives is currently 80% of the physician rate. Regulatory Board: Board of Nursing Recognized Midwifery Credentials: CNM, CPM Midwifery Education Programs: None Currently
10 ACNM Department of Advocacy and Government Affairs Grassroots Advocacy Resources State Fact Sheet: California The American College of Nurse- Midwives (ACNM) is the national organization representing the interests of certified nurse- midwives (CNM) and certified midwives (CM) practicing in the United States. CNMs and CMs are highly trained providers who earn graduate degrees and must pass a national certification examination to demonstrate that they meet ACNM's core competencies, which meet or exceed international recommendations for midwifery care. Midwives are trained to offer a full range of primary health care services for women from adolescence beyond menopause. Number of AMCB Certified Midwives, 2014: 1026 Number of CNM/CM Attended Births, 2013: 43,126 Percent of CNM/CM Attended Births, 2013: 8.72% Midwifery services are provided in partnership with women and families in diverse settings such as ambulatory care clinics, private offices, community and public health systems, homes, hospitals and birth centers.according to the CDC, in 2012 the vast majority of midwifery- attended births occurred in the hospital setting (94.8%). Other birth locations included birth centers (2.6%), home births (2.6%), and approximately 0.1% in a clinic or other setting. Number of Birth Centers in State, 2014: 24 A 2012 meta- analysis of midwifery outcomes when compared to labor and delivery care provided by physicians concluded that there was no difference in CNM versus MD care and, for some variables, that midwifery care demonstrated better outcomes. The study concluded that midwifery care "is safe and effective" and urged that midwives "should be better utilized to address the projected health care workforce shortages." ACNM considers the scope of midwifery practice to include primary care, gynecologic and family planning services, preconception care, care during pregnancy, childbirth and the postpartum period, care of the normal newborn during the first 28 days of life, and treatment of male partners for sexually transmitted infections. Midwives provide initial and ongoing comprehensive assessment, diagnosis and treatment. They conduct physical examinations; prescribe medications including controlled substances and contraceptive methods;
11 admit, manage and discharge patients; order and interpret laboratory and diagnostic tests and order the use of medical devices. Midwifery care also includes health promotion, disease prevention, and individualized wellness education and counseling. State Scope of Practice Statement: The statute defines the scope of practice of nurse- midwifery as the furthering or undertaking...to assist a woman in childbirth so long as progress meets criteria accepted as normal. This scope of pract ice specifically excludes the assisting of childbirth by any artificial, forcible, or mechanical means and the performance of any v Regulatory Environment (Autonomous Practice, Collaborative Requirement, or Supervisory): California requires a supervisory relationship with a physician as a condition for practice. Medicaid Coverage: Medicaid covers approximately half of all births in the United States, with the percent ranging from 20 to over 60 percent among states. As such, it is a key payer for midwifery services and it is critical that midwives understand when their patients may qualify for Medicaid coverage, what services are covered, and how to get paid for their services to Medicaid beneficiaries. The fee- for- service Medicaid reimbursement rate for midwives is currently 100% of the physician rate. Regulatory Board: Board of Registered Nurses Recognized Midwifery Credentials: CNM, CPM Midwifery Education Programs: California State University - Fullerton; San Diego State University; University of California - San Francisco
12 ACNM Department of Advocacy and Government Affairs Grassroots Advocacy Resources State Fact Sheet: Colorado The American College of Nurse- Midwives (ACNM) is the national organization representing the interests of certified nurse- midwives (CNM) and certified midwives (CM) practicing in the United States. CNMs and CMs are highly trained providers who earn graduate degrees and must pass a national certification examination to demonstrate that they meet ACNM's core competencies, which meet or exceed international recommendations for midwifery care. Midwives are trained to offer a full range of primary health care services for women from adolescence beyond menopause. Number of AMCB Certified Midwives, 2014: 348 Number of CNM/CM Attended Births, 2013: 8,106 Percent of CNM/CM Attended Births, 2013: 12.47% Midwifery services are provided in partnership with women and families in diverse settings such as ambulatory care clinics, private offices, community and public health systems, homes, hospitals and birth centers.according to the CDC, in 2012 the vast majority of midwifery- attended births occurred in the hospital setting (94.8%). Other birth locations included birth centers (2.6%), home births (2.6%), and approximately 0.1% in a clinic or other setting. Number of Birth Centers in State, 2014: 2 A 2012 meta- analysis of midwifery outcomes when compared to labor and delivery care provided by physicians concluded that there was no difference in CNM versus MD care and, for some variables, that midwifery care demonstrated better outcomes. The study concluded that midwifery care "is safe and effective" and urged that midwives "should be better utilized to address the projected health care workforce shortages." ACNM considers the scope of midwifery practice to include primary care, gynecologic and family planning services, preconception care, care during pregnancy, childbirth and the postpartum period, care of the normal newborn during the first 28 days of life, and treatment of male partners for sexually transmitted infections. Midwives provide initial and ongoing comprehensive assessment, diagnosis and treatment. They conduct physical examinations; prescribe medications including controlled substances and contraceptive methods;
13 admit, manage and discharge patients; order and interpret laboratory and diagnostic tests and order the use of medical devices. Midwifery care also includes health promotion, disease prevention, and individualized wellness education and counseling. State Scope of Practice Statement: The Board of Nursing recognizes ACNM's "Standards for the Practice of Midwifery" as defining the appropriate scope for nurse- midwifery practice in Colorado. Regulatory Environment (Autonomous Practice, Collaborative Requirement, or Supervisory): Colorado is an independent practice state, meaning any required relationships with a physician or other provider do not rise to the level of a contractual agreement. Medicaid Coverage: Medicaid covers approximately half of all births in the United States, with the percent ranging from 20 to over 60 percent among states. As such, it is a key payer for midwifery services and it is critical that midwives understand when their patients may qualify for Medicaid coverage, what services are covered, and how to get paid for their services to Medicaid beneficiaries.the fee- for- service Medicaid reimbursement rate for midwives is currently 100% of the physician rate. Regulatory Board: Board of Nursing Recognized Midwifery Credentials: CNM, CPM Midwifery Education Programs: University of Colorado- Denver
14 ACNM Department of Advocacy and Government Affairs Grassroots Advocacy Resources State Fact Sheet: Connecticut The American College of Nurse- Midwives (ACNM) is the national organization representing the interests of certified nurse- midwives (CNM) and certified midwives (CM) practicing in the United States. CNMs and CMs are highly trained providers who earn graduate degrees and must pass a national certification examination to demonstrate that they meet ACNM's core competencies, which meet or exceed international recommendations for midwifery care. Midwives are trained to offer a full range of primary health care services for women from adolescence beyond menopause. Number of AMCB Certified Midwives, 2014: 200 Number of CNM/CM Attended Births, 2013: 3,968 Percent of CNM/CM Attended Births, 2013: 11.01% Midwifery services are provided in partnership with women and families in diverse settings such as ambulatory care clinics, private offices, community and public health systems, homes, hospitals and birth centers.according to the CDC, in 2012 the vast majority of midwifery- attended births occurred in the hospital setting (94.8%). Other birth locations included birth centers (2.6%), home births (2.6%), and approximately 0.1% in a clinic or other setting. Number of Birth Centers in State, 2014: 2 A 2012 meta- analysis of midwifery outcomes when compared to labor and delivery care provided by physicians concluded that there was no difference in CNM versus MD care and, for some variables, that midwifery care demonstrated better outcomes. The study concluded that midwifery care "is safe and effective" and urged that midwives "should be better utilized to address the projected health care workforce shortages." ACNM considers the scope of midwifery practice to include primary care, gynecologic and family planning services, preconception care, care during pregnancy, childbirth and the postpartum period, care of the normal newborn during the first 28 days of life, and treatment of male partners for sexually transmitted infections. Midwives provide initial and ongoing comprehensive assessment, diagnosis and treatment. They conduct physical examinations; prescribe medications including controlled substances and contraceptive methods;
15 admit, manage and discharge patients; order and interpret laboratory and diagnostic tests and order the use of medical devices. Midwifery care also includes health promotion, disease prevention, and individualized wellness education and counseling. State Scope of Practice Statement: Nurse- midwifery is defined as "the management of women's health care needs, focusing particularly on family planning and gynecological needs of women, pregnancy, childbirth, the postpartum period and the care of newborns, occurring within a health care team and in collaboration with qualified obstetrician- gynecologists" [Conn. Gen. Stat a]. Regulatory Environment (Autonomous Practice, Collaborative Requirement, or Supervisory): Connecticut is an independent practice state, meaning any required relationships with a physician or other provider do not rise to the level of a contractual agreement. Medicaid Coverage: Medicaid covers approximately half of all births in the United States, with the percent ranging from 20 to over 60 percent among states. As such, it is a key payer for midwifery services and it is critical that midwives understand when their patients may qualify for Medicaid coverage, what services are covered, and how to get paid for their services to Medicaid beneficiaries. The fee- for- service Medicaid reimbursement rate for midwives is currently 90% of the physician rate. Regulatory Board: State Department of Public Health Recognized Midwifery Credentials: CNM Midwifery Education Programs: Yale University
16 ACNM Department of Advocacy and Government Affairs Grassroots Advocacy Resources State Fact Sheet: Delaware The American College of Nurse- Midwives (ACNM) is the national organization representing the interests of certified nurse- midwives (CNM) and certified midwives (CM) practicing in the United States. CNMs and CMs are highly trained providers who earn graduate degrees and must pass a national certification examination to demonstrate that they meet ACNM's core competencies, which meet or exceed international recommendations for midwifery care. Midwives are trained to offer a full range of primary health care services for women from adolescence beyond menopause. Number of AMCB Certified Midwives, 2014: 30 Number of CNM/CM Attended Births, 2013: 949 Percent of CNM/CM Attended Births, 2013: 8.77% Midwifery services are provided in partnership with women and families in diverse settings such as ambulatory care clinics, private offices, community and public health systems, homes, hospitals and birth centers.according to the CDC, in 2012 the vast majority of midwifery- attended births occurred in the hospital setting (94.8%). Other birth locations included birth centers (2.6%), home births (2.6%), and approximately 0.1% in a clinic or other setting. Number of Birth Centers in State, 2014: 1 A 2012 meta- analysis of midwifery outcomes when compared to labor and delivery care provided by physicians concluded that there was no difference in CNM versus MD care and, for some variables, that midwifery care demonstrated better outcomes. The study concluded that midwifery care "is safe and effective" and urged that midwives "should be better utilized to address the projected health care workforce shortages." ACNM considers the scope of midwifery practice to include primary care, gynecologic and family planning services, preconception care, care during pregnancy, childbirth and the postpartum period, care of the normal newborn during the first 28 days of life, and treatment of male partners for sexually transmitted infections. Midwives provide initial and ongoing comprehensive assessment, diagnosis and treatment. They conduct physical examinations; prescribe medications including controlled substances and contraceptive methods;
17 admit, manage and discharge patients; order and interpret laboratory and diagnostic tests and order the use of medical devices. Midwifery care also includes health promotion, disease prevention, and individualized wellness education and counseling. State Scope of Practice Statement: The Board of Nursing recognizes ACNM's "Standards for the Practice of Midwifery" as defining the appropriate scope for nurse- midwifery practice in Delaware. Regulatory Environment (Autonomous Practice, Collaborative Requirement, or Supervisory): Delaware requires a collaborative agreement as a condition for practice. Medicaid Coverage: Medicaid covers approximately half of all births in the United States, with the percent ranging from 20 to over 60 percent among states. As such, it is a key payer for midwifery services and it is critical that midwives understand when their patients may qualify for Medicaid coverage, what services are covered, and how to get paid for their services to Medicaid beneficiaries. The fee- for- service Medicaid reimbursement rate for midwives is currently 100% of the physician rate. Regulatory Board: Board of Nursing dpr.delaware.gov/boards/nursing/ Recognized Midwifery Credentials: CNM, CM Midwifery Education Programs: None Currently
18 ACNM Department of Advocacy and Government Affairs Grassroots Advocacy Resources State Fact Sheet: DC The American College of Nurse- Midwives (ACNM) is the national organization representing the interests of certified nurse- midwives (CNM) and certified midwives (CM) practicing in the United States. CNMs and CMs are highly trained providers who earn graduate degrees and must pass a national certification examination to demonstrate that they meet ACNM's core competencies, which meet or exceed international recommendations for midwifery care. Midwives are trained to offer a full range of primary health care services for women from adolescence beyond menopause. Number of AMCB Certified Midwives, 2014: 37 Number of CNM/CM Attended Births, 2013: 996 Percent of CNM/CM Attended Births, 2013: 10.73% Midwifery services are provided in partnership with women and families in diverse settings such as ambulatory care clinics, private offices, community and public health systems, homes, hospitals and birth centers.according to the CDC, in 2012 the vast majority of midwifery- attended births occurred in the hospital setting (94.8%). Other birth locations included birth centers (2.6%), home births (2.6%), and approximately 0.1% in a clinic or other setting. Number of Birth Centers in State, 2014: 1 A 2012 meta- analysis of midwifery outcomes when compared to labor and delivery care provided by physicians concluded that there was no difference in CNM versus MD care and, for some variables, that midwifery care demonstrated better outcomes. The study concluded that midwifery care "is safe and effective" and urged that midwives "should be better utilized to address the projected health care workforce shortages." ACNM considers the scope of midwifery practice to include primary care, gynecologic and family planning services, preconception care, care during pregnancy, childbirth and the postpartum period, care of the normal newborn during the first 28 days of life, and treatment of male partners for sexually transmitted infections. Midwives provide initial and ongoing comprehensive assessment, diagnosis and treatment. They conduct physical examinations; prescribe medications including controlled substances and contraceptive methods;
19 admit, manage and discharge patients; order and interpret laboratory and diagnostic tests and order the use of medical devices. Midwifery care also includes health promotion, disease prevention, and individualized wellness education and counseling. State Scope of Practice Statement: CNMs, as APRNs, may (1) Initiate, monitor, and alter drug therapies; (2) Initiate appropriate therapies or treatments; (3) Make referrals for appropriate therapies or treatments; and (4) Perform additional functions within his or her specialty determined in accordance with rules and regulations promulgated by the board [D.C. Code ]. Under the regulations CNMs may perform the following functions: (a) Manage the care of the normal obstetrical patient; (b) Perform minor surgical procedure; (c) Manage the normal obstetrical patient during labor and delivery to include amniotomy, episiotomy, and repair; (d) Initiate and perform local anesthetic procedures and order the necessary anesthetic agents to perform the procedures; (e) Manage care of the newborn; (f) Perform post- partum examination; (g) Provide gynecological care for women; (h) Prescribe appropriate medications; (i) Provide family planning and STD services; (j) Provide primary health care; and (k) Such other functions and services the Board deems appropriate upon review and analysis of professional and association literature which articulates scopes and standards for nurse- midwifery practice [D.C. Mun. Regs. tit. 17, ]. Regulatory Environment (Autonomous Practice, Collaborative Requirement, or Supervisory): Washington DC has independent practice, meaning any required relationships with a physician or other provider do not rise to the level of a contractual agreement. Medicaid Coverage: Medicaid covers approximately half of all births in the United States, with the percent ranging from 20 to over 60 percent among states. As such, it is a key payer for midwifery services and it is critical that midwives understand when their patients may qualify for Medicaid coverage, what services are covered, and how to get paid for their services to Medicaid beneficiaries.the fee- for- service Medicaid reimbursement rate for midwives is currently 100% of the physician rate. Regulatory Board: Board of Nursing doh.dc.gov/service/board- nursing Recognized Midwifery Credentials: CNM Midwifery Education Programs: Georgetown University
20
21 ACNM Department of Advocacy and Government Affairs Grassroots Advocacy Resources State Fact Sheet: Florida The American College of Nurse- Midwives (ACNM) is the national organization representing the interests of certified nurse- midwives (CNM) and certified midwives (CM) practicing in the United States. CNMs and CMs are highly trained providers who earn graduate degrees and must pass a national certification examination to demonstrate that they meet ACNM's core competencies, which meet or exceed international recommendations for midwifery care. Midwives are trained to offer a full range of primary health care services for women from adolescence beyond menopause. Number of AMCB Certified Midwives, 2014: 635 Number of CNM/CM Attended Births, 2013: 22,416 Percent of CNM/CM Attended Births, 2013: 10.41% Midwifery services are provided in partnership with women and families in diverse settings such as ambulatory care clinics, private offices, community and public health systems, homes, hospitals and birth centers.according to the CDC, in 2012 the vast majority of midwifery- attended births occurred in the hospital setting (94.8%). Other birth locations included birth centers (2.6%), home births (2.6%), and approximately 0.1% in a clinic or other setting. Number of Birth Centers in State, 2014: 29 A 2012 meta- analysis of midwifery outcomes when compared to labor and delivery care provided by physicians concluded that there was no difference in CNM versus MD care and, for some variables, that midwifery care demonstrated better outcomes. The study concluded that midwifery care "is safe and effective" and urged that midwives "should be better utilized to address the projected health care workforce shortages." ACNM considers the scope of midwifery practice to include primary care, gynecologic and family planning services, preconception care, care during pregnancy, childbirth and the postpartum period, care of the normal newborn during the first 28 days of life, and treatment of male partners for sexually transmitted infections. Midwives provide initial and ongoing comprehensive assessment, diagnosis and treatment. They conduct physical examinations; prescribe medications including controlled substances and contraceptive methods;
22 admit, manage and discharge patients; order and interpret laboratory and diagnostic tests and order the use of medical devices. Midwifery care also includes health promotion, disease prevention, and individualized wellness education and counseling. State Scope of Practice Statement: Certified nurse- midwives in Florida are regulated by the Board of Nursing (BON) as a category of advanced registered nurse practitioner (ARNP). The statute defines advanced or specialized nursing practice as the performance of advanced- level nursing acts... which, by virtue of post- basic specialized education, training, and experience, are proper to be performed by an ARNP. Those acts include nursing diagnosis and nursing treatments as well as acts of medical diagnosis and treatment,prescription, and operation which are identified and approved by a joint committee of representatives from the Boards of Medicine and Nursing [Fla. Stat. Ann ]. Regulatory Environment (Autonomous Practice, Collaborative Requirement, or Supervisory): Florida requires a supervisory relationship with a physician as a condition for practice. Medicaid Coverage: Medicaid covers approximately half of all births in the United States, with the percent ranging from 20 to over 60 percent among states. As such, it is a key payer for midwifery services and it is critical that midwives understand when their patients may qualify for Medicaid coverage, what services are covered, and how to get paid for their services to Medicaid beneficiaries. The fee- for- service Medicaid reimbursement rate for midwives is currently 80% of the physician rate. Regulatory Board: Board of Nursing floridasnursing.gov/ Recognized Midwifery Credentials: CNM, CPM Midwifery Education Programs: University of Florida
23 ACNM Department of Advocacy and Government Affairs Grassroots Advocacy Resources State Fact Sheet: Georgia The American College of Nurse- Midwives (ACNM) is the national organization representing the interests of certified nurse- midwives (CNM) and certified midwives (CM) practicing in the United States. CNMs and CMs are highly trained providers who earn graduate degrees and must pass a national certification examination to demonstrate that they meet ACNM's core competencies, which meet or exceed international recommendations for midwifery care. Midwives are trained to offer a full range of primary health care services for women from adolescence beyond menopause. Number of AMCB Certified Midwives, 2014: 441 Number of CNM/CM Attended Births, 2013: 17,958 Percent of CNM/CM Attended Births, 2013: 14.02% Midwifery services are provided in partnership with women and families in diverse settings such as ambulatory care clinics, private offices, community and public health systems, homes, hospitals and birth centers.according to the CDC, in 2012 the vast majority of midwifery- attended births occurred in the hospital setting (94.8%). Other birth locations included birth centers (2.6%), home births (2.6%), and approximately 0.1% in a clinic or other setting. Number of Birth Centers in State, 2014: 1 A 2012 meta- analysis of midwifery outcomes when compared to labor and delivery care provided by physicians concluded that there was no difference in CNM versus MD care and, for some variables, that midwifery care demonstrated better outcomes. The study concluded that midwifery care "is safe and effective" and urged that midwives "should be better utilized to address the projected health care workforce shortages." ACNM considers the scope of midwifery practice to include primary care, gynecologic and family planning services, preconception care, care during pregnancy, childbirth and the postpartum period, care of the normal newborn during the first 28 days of life, and treatment of male partners for sexually transmitted infections. Midwives provide initial and ongoing comprehensive assessment, diagnosis and treatment. They conduct physical examinations; prescribe medications including controlled substances and contraceptive methods;
24 admit, manage and discharge patients; order and interpret laboratory and diagnostic tests and order the use of medical devices. Midwifery care also includes health promotion, disease prevention, and individualized wellness education and counseling. State Scope of Practice Statement: The certified nurse- midwife (CNM) provides independent management of women's health care, focusing particularly on pregnancy,childbirth, the postpartum period, care of the newborn, and the family planning and gynecological needs of women. The certified nurse- midwife practices within a health care system that provides for consultation, collaborative management, or referral as indicated by the health status of the client. The certified nurse- midwife must practice in accordance with the Board- approved American College of Nurse- Midwives' current Standards for the Practice of Nurse- Midwifery [Ga. Comp. R. & Regs ]. Regulatory Environment (Autonomous Practice, Collaborative Requirement, or Supervisory): Georgia requires a collaborative agreement as a condition for practice. Medicaid Coverage: Medicaid covers approximately half of all births in the United States, with the percent ranging from 20 to over 60 percent among states. As such, it is a key payer for midwifery services and it is critical that midwives understand when their patients may qualify for Medicaid coverage, what services are covered, and how to get paid for their services to Medicaid beneficiaries.the fee- for- service Medicaid reimbursement rate for midwives is currently 100% of the physician rate. Regulatory Board: Board of Nursing sos.ga.gov/index.php/licensing/plb/45 Recognized Midwifery Credentials: CNM Midwifery Education Programs: Emory University
25 ACNM Department of Advocacy and Government Affairs Grassroots Advocacy Resources State Fact Sheet: Hawaii The American College of Nurse- Midwives (ACNM) is the national organization representing the interests of certified nurse- midwives (CNM) and certified midwives (CM) practicing in the United States. CNMs and CMs are highly trained providers who earn graduate degrees and must pass a national certification examination to demonstrate that they meet ACNM's core competencies, which meet or exceed international recommendations for midwifery care. Midwives are trained to offer a full range of primary health care services for women from adolescence beyond menopause. Number of AMCB Certified Midwives, 2014: 50 Number of CNM/CM Attended Births, 2013: 1,671 Percent of CNM/CM Attended Births, 2013: 8.81% Midwifery services are provided in partnership with women and families in diverse settings such as ambulatory care clinics, private offices, community and public health systems, homes, hospitals and birth centers.according to the CDC, in 2012 the vast majority of midwifery- attended births occurred in the hospital setting (94.8%). Other birth locations included birth centers (2.6%), home births (2.6%), and approximately 0.1% in a clinic or other setting. Number of Birth Centers in State, 2014: 0 A 2012 meta- analysis of midwifery outcomes when compared to labor and delivery care provided by physicians concluded that there was no difference in CNM versus MD care and, for some variables, that midwifery care demonstrated better outcomes. The study concluded that midwifery care "is safe and effective" and urged that midwives "should be better utilized to address the projected health care workforce shortages." ACNM considers the scope of midwifery practice to include primary care, gynecologic and family planning services, preconception care, care during pregnancy, childbirth and the postpartum period, care of the normal newborn during the first 28 days of life, and treatment of male partners for sexually transmitted infections. Midwives provide initial and ongoing comprehensive assessment, diagnosis and treatment. They conduct physical examinations; prescribe medications including controlled substances and contraceptive methods;
26 admit, manage and discharge patients; order and interpret laboratory and diagnostic tests and order the use of medical devices. Midwifery care also includes health promotion, disease prevention, and individualized wellness education and counseling. State Scope of Practice Statement: CNMs are regulated as a category of advanced practice registered nurse (APRN). the advanced practice registered nurse may perform the following generic acts which include, but are not limited to:(1) Provide direct care by utilizing advanced scientific knowledge, skills, nursing and related theories to assess, plan, and implement appropriate health and nursing care to patients;(2) Provide indirect care. Plan, guide, evaluate and direct the nursing care given by other personnel associated with the health care team;(3) Teach, counsel, or plan care for individuals or group, utilizing a synthesis of advanced skills, theories, and knowledge of biologic, pharmacologic, physical, sociocultural and psychological aspects of care to accomplish desired objectives;(4) Serve as a consultant and resource of advanced clinical knowledge and skills to those involved directly or indirectly in patient care;(5) Participate in joint and periodic evaluation of services rendered including, but not limited to, chart reviews, case reviews, patient evaluations, and outcome of case statistics;(6) Establish collaborative, consultative, and referral networks as appropriate with other health care professionals. Patients who require care beyond the scope of practice of an APRN shall be referred to an appropriate health care provider;(7) Manage the plan of care prescribed for the patient;(8) Initiate and maintain accurate records and authorize appropriate regulatory and other legal documents;(9) Recognize, develop, and implement professional and community educational programs related to health care;(10) Conduct research and analyze the health needs of individuals and populations and design programs which target at- risk groups and cultural and environmental factors which foster health and prevent illness;(11) Participate in policy analysis and development of new policy initiative in the area of practice specialty; and(12) Contribute to the development, maintenance, and change of health care delivery systems to improve quality of health care services and consumer access to services [Haw. Code R ]. Regulatory Environment (Autonomous Practice, Collaborative Requirement, or Supervisory): Hawaii is an independent practice state, meaning any required relationships with a physician or other provider do not rise to the level of a contractual agreement. Medicaid Coverage: Medicaid covers approximately half of all births in the United States, with the percent ranging from 20 to over 60 percent among states. As such, it is a key payer for midwifery services and it is critical that midwives understand when their patients may qualify for Medicaid coverage, what services are covered,
27 and how to get paid for their services to Medicaid beneficiaries. The fee- for- service Medicaid reimbursement rate for midwives is currently 75% of the physician rate. Regulatory Board: Board of Nursing hawaii.gov/dcca/pvl/boards/nursing Recognized Midwifery Credentials: CNM Midwifery Education Programs: None Currently
28 ACNM Department of Advocacy and Government Affairs Grassroots Advocacy Resources State Fact Sheet: Idaho The American College of Nurse- Midwives (ACNM) is the national organization representing the interests of certified nurse- midwives (CNM) and certified midwives (CM) practicing in the United States. CNMs and CMs are highly trained providers who earn graduate degrees and must pass a national certification examination to demonstrate that they meet ACNM's core competencies, which meet or exceed international recommendations for midwifery care. Midwives are trained to offer a full range of primary health care services for women from adolescence beyond menopause. Number of AMCB Certified Midwives, 2014: 44 Number of CNM/CM Attended Births, 2013: 1,753 Percent of CNM/CM Attended Births, 2013: 7.84% Midwifery services are provided in partnership with women and families in diverse settings such as ambulatory care clinics, private offices, community and public health systems, homes, hospitals and birth centers.according to the CDC, in 2012 the vast majority of midwifery- attended births occurred in the hospital setting (94.8%). Other birth locations included birth centers (2.6%), home births (2.6%), and approximately 0.1% in a clinic or other setting. Number of Birth Centers in State, 2014: 6 A 2012 meta- analysis of midwifery outcomes when compared to labor and delivery care provided by physicians concluded that there was no difference in CNM versus MD care and, for some variables, that midwifery care demonstrated better outcomes. The study concluded that midwifery care "is safe and effective" and urged that midwives "should be better utilized to address the projected health care workforce shortages." ACNM considers the scope of midwifery practice to include primary care, gynecologic and family planning services, preconception care, care during pregnancy, childbirth and the postpartum period, care of the normal newborn during the first 28 days of life, and treatment of male partners for sexually transmitted infections. Midwives provide initial and ongoing comprehensive assessment, diagnosis and treatment. They conduct physical examinations; prescribe medications including controlled substances and contraceptive methods;
Percent of all vaginal births attended by CNMs/CMs, 2013: 2.55%
ACNM Department of Advocacy and Government Affairs Grassroots Advocacy Resources State Fact Sheet: Alabama The American College of Nurse-Midwives (ACNM) is the national organization representing the interests
More informationSession of 2015. HOUSE BILL No. 2280. By Committee on Health and Human Services 2-10
Session of HOUSE BILL No. 0 By Committee on Health and Human Services -0 0 0 AN ACT concerning the board of nursing; relating to the certified nursemidwives; amending K.S.A. Supp. -0 and repealing the
More informationThe Education, Training and Practice of the Certified Nurse-Midwife
The Education, Training and Practice of the Certified Nurse-Midwife Joint Legislative Oversight Committee on Health and Human Services, Subcommittee on Midwives February 26, 2014 Dr. Rebecca C. Bagley,
More informationCertified Nurse-Midwife and Women s Health Care Nurse Practitioner
Certified Nurse-Midwife and Women s Health Care Nurse Practitioner Practice Agreements at Chicago Revised March 2007 TABLE OF CONTENTS SIGNATURES OF AGREEMENT 3 ORGANIZATION RELATIONSHIPS AND MEMBERSHIP
More informationMidwifery in the United States and the Consensus Model for APRN Regulation
Midwifery in the United States and the Consensus Model for APRN Regulation The American College of Nurse-Midwives, the Accreditation Commission for Midwifery Education, and the American Midwifery Certification
More informationPOLICIES AND PROCEDURES
Purpose: To establish guidelines for the clinical practice of Nurse Midwives. Policy: The Central California Alliance for Health (the Alliance) requires all Nurse Midwives to meet the Alliance s guidelines
More informationCHAPTER 27 THE SCOPE OF PROFESSIONAL NURSING PRACTICE AND ARNP AND CNM PROTOCOLS
I. INTRODUCTION CHAPTER 27 THE SCOPE OF PROFESSIONAL NURSING PRACTICE AND ARNP AND CNM PROTOCOLS Advance registered nurse practitioners (ARNPs) and clinical nurse practitioners (CNPs) have their scope
More informationCERTIFIED NURSE-MIDWIFERY PRACTICE IN MAINE
CERTIFIED NURSE-MIDWIFERY PRACTICE IN MAINE An Initiative to Implement Standard Procedures and Practices Allowing Hospital Admission by CNMs of Maternity Patients Maine Association of Certified Nurse Midwives,
More informationUNMH Certified Nurse-Midwife (CNM) Clinical Privileges
All new applicants must meet the following requirements as approved by the UNMH Board of Trustees effective: 03/27/2015 INSTRUCTIONS Applicant: Check off the "Requested" box for each privilege requested.
More informationDATE NAME TITLE ORGANIZATION ADDRESS CITY, ST ZIPXX. Dear SALUTATION:
DATE NAME TITLE ORGANIZATION ADDRESS CITY, ST ZIPXX Dear SALUTATION: Considering your leadership role in the Veterans Health Administration (VHA) helping to carry out Secretary McDonald s directive to
More information244 CMR: BOARD OF REGISTRATION IN NURSING
244 CMR 4.00: ADVANCED PRACTICE REGISTERED NURSING Section 4.01: Purpose Authority 4.02: Definitions 4.03: Clinical Categories of Advanced Practice Registered Nurses 4.04: Prohibition of Practice without
More informationTexas State Government Effectiveness and Efficiency APRN Prescriptive Authority & Recommendations
Texas State Government Effectiveness and Efficiency APRN Prescriptive Authority & Recommendations SUBMITTED TO THE 82ND TEXAS LEGISLATURE JANUARY 2011 LEGISLATIVE BUDGET BOARD STAFF INCREASE ACCESS TO
More informationChart Overview of Nurse Practitioner Scopes of Practice in the United States
Chart Overview of Nurse Practitioner Scopes of Practice in the United States Sharon Christian, JD, Catherine Dower, JD, Edward O Neil, PhD, MPA, FAAN Center for the Health Professions University of California,
More informationMUNICIPAL REGULATIONS FOR NURSE- MIDWIVES
MUNICIPAL REGULATIONS FOR NURSE- MIDWIVES CHAPTER 58 NURSE-MIDWIVES Secs. 5800 Applicability 5801 General Requirement 5802 Term of Certificate 5803 Renewal of Certificate 5804 Educational and Experience
More informationPrimary Care of Women: What is the Scope of Practice in Family Planning Clinics?
Jane Kass-Wolff, PhD, RN, FNP-BC, WHNP-BC University of Colorado College of Nursing June 12, 2015 Primary Care of Women: What is the Scope of Practice in Family Planning Clinics? Issue for Discussion Scope
More informationAnita Mar)nez, RN, MS, CNM St. Joseph s Hospital and Medical Center Center For Women s Health
Anita Mar)nez, RN, MS, CNM St. Joseph s Hospital and Medical Center Center For Women s Health An Honorable Profession From the Beginning of Human History Ancient Egypt Greeks Old Testament Romans Medieval
More informationProvider restrictions apply please see Behavioral Health Policy.
Payment Policy Mid-Level Practitioner EFFECTIVE DATE: 02 02 2006 POLICY LAST UPDATED: 10 01 2013 OVERVIEW This policy documents the services covered when rendered by a BCBSRI credentialed Mid-level practitioners
More information36States Require Physician Supervision of Nurse Anesthetists
36States Require Physician Supervision of Nurse Anesthetists 34 states follow the federal requirement that physicians supervise nurse anesthetists. State law also requires physician supervision or direction
More informationGENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2013 S 1 SENATE BILL 499. Short Title: Update/Modernize/Midwifery Practice Act.
GENERAL ASSEMBLY OF NORTH CAROLINA SESSION S 1 SENATE BILL Short Title: Update/Modernize/Midwifery Practice Act. (Public) Sponsors: Senators Hartsell, Randleman, Stein (Primary Sponsors); Cook, D. Davis,
More informationAMENDMENTS TO RULES OF THE BOARD OF REGENTS AND REGULATIONS OF THE COMMISSIONER OF EDUCATION
AMENDMENTS TO RULES OF THE BOARD OF REGENTS AND REGULATIONS OF THE COMMISSIONER OF EDUCATION Pursuant to sections 207, 6504, 6506, 6507, 6509, and 6951 of the Education Law 1. The Rules of the Board of
More informationDefining Scope of Practice for Nurse Practitioners: A Regulatory Perspective
Defining Scope of Practice for Nurse Practitioners: A Regulatory Perspective Tracy Klein, MS, WHCNP,FNP Advanced Practice Consultant Oregon State Board of Nursing September 2006 Who determines your scope
More informationKENTUCKY BOARD OF NURSING 312 Whittington Parkway, Suite 300 Louisville, Kentucky 40222-5172 http://kbn.ky.gov ADVISORY OPINION STATEMENT
(Revised 4/2016) KENTUCKY BOARD OF NURSING 312 Whittington Parkway, Suite 300 Louisville, Kentucky 40222-5172 http://kbn.ky.gov ADVISORY OPINION STATEMENT ROLES OF NURSES IN THE CARE OF PRENATAL AND INTRAPARTUM
More informationFairview Health Services CERTIFIED NURSE MIDWIFE Delineation of Privileges CROSSWALK FOR REQUESTING FAIRVIEW PRIVILEGES
PAGE 1 OF 4 Fairview Health Services CERTIFIED NURSE MIDWIFE Delineation of Privileges Applicant s Name (please print): CROSSWALK FOR REQUESTING FAIRVIEW PRIVILEGES I Want to Work at the Following Fairview
More informationTable A-7. State Medical Record Laws: Minimum Medical Record Retention Periods for Records Held by Medical Doctors and Hospitals*
Summary of statutory or regulatory provision by entity. Alabama As long as may be necessary to treat the patient and for medical legal purposes. Ala. Admin. Code r. 545-X-4-.08 (2007). (1) 5 years. Ala.
More informationSUBCHAPTER 1 GENERAL PROVISIONS
SUBCHAPTER 1 GENERAL PROVISIONS 17-87-101. License Required - Purpose. 17-87-102. Definitions. 17-87-103. Exceptions. 17-87-104. Penalty. 17-87-105. Injunction. 17-87-106. Construction of Chapter. 17-87-101.
More informationCHAPTER ONE GENERAL PROVISIONS
CHAPTER ONE GENERAL PROVISIONS SECTION I PURPOSE AND AUTHORITY A. PURPOSE 1. ARKANSAS NURSE PRACTICE ACT - Requires that any person who practices or offers to practice professional nursing, advanced practice
More informationRandy Fink Frontier Nursing University December 5 th, 2012
Randy Fink Frontier Nursing University December 5 th, 2012 A Registered Nurse trained in one of four advanced practice roles at the graduate level (National Council of State Boards of Nursing, 2008) Certified
More informationA.P.R.N. LICENSURE S.B. 68: SUMMARY OF INTRODUCED BILL IN COMMITTEE
A.P.R.N. LICENSURE S.B. 68: SUMMARY OF INTRODUCED BILL IN COMMITTEE Senate Bill 68 (as introduced 2-3-15) Sponsor: Senator Mike Shirkey Committee: Health Policy Date Completed: 3-2-15 CONTENT The bill
More informationCertified Nurse Midwives in Delivery: What benefits they bring! Presented by: Deborah Johnson, CNM Jodee Gutierrez CNM
Certified Nurse Midwives in Delivery: What benefits they bring! Presented by: Deborah Johnson, CNM Jodee Gutierrez CNM History of Midwifery Midwife means with woman French Sage femme Spanish La Partera
More informationTestimony of the American College of Nurse-Midwives. at a Hearing of the House Committee on Energy and Commerce Subcommittee on Health.
Testimony of the American College of Nurse-Midwives at a Hearing of the House Committee on Energy and Commerce Subcommittee on Health on the Improving Access to Maternity Care Act (H.R.1209) Wednesday,
More informationAdvanced Practice Nurses Authority to Diagnose and Prescribe
Advanced Practice Nurses Authority to Diagnose and Prescribe ted ec ot. r p e ht ion th rig mat of ty y r y p s o cie Co inf rte So u l o a dc dic ide Me e t a St ois v ro P n Illi www.isms.org ADVANCED
More informationSHORT TITLE: Professions and occupations; certified registered nurse anesthetist scope of practice; effective date.
SHORT TITLE: Professions and occupations; certified registered nurse anesthetist scope of practice; effective date. STATE OF OKLAHOMA 2nd Session of the 45th Legislature (1996) SENATE BILL NO. 943 By:
More informationPrepared By: The Professional Staff of the Committee on Health Policy REVISED:
BILL: SB 152 The Florida Senate BILL ANALYSIS AND FISCAL IMPACT STATEMENT (This document is based on the provisions contained in the legislation as of the latest date listed below.) Prepared By: The Professional
More informationYALE NEW HAVEN HOSPITAL CORE PRIVILEGES LICENSED NURSE MIDWIFE
YALE NEW HAVEN HOSPITAL CORE PRIVILEGES LICENSED NURSE MIDWIFE Nurse Midwives are licensed in Connecticut pursuant to CGS Section 20 75a et seq. recognizes that actual midwife function will vary with training
More informationREGISTERED NURSE PRACTITIONER (RNP) PRACTICING IN AN ACUTE CARE SETTING October 2009 Adopted by the Board 11/19/09 Background
Janice Brewer Governor Joey Ridenour Executive Director Arizona State Board of Nursing 4747 N. 7 th Street Phoenix, AZ 85014-3653 Phone (602) 771-7888 Fax (602) 771-7800 E-Mail: prandolph@azbn.gov Home
More informationMidwifery in New York
Midwifery in New York Barbara Hughes, CNM, MS, MBA, FACNM Wilson Hughes Consulting, LLC The culture of midwifery: It s all about listening to women, caring for women, empowering women, and doing the right
More informationAdvanced Practice Registered Nurses in Texas
Advanced Practice Registered Nurses in Texas Lynda Woolbert, MSN, RN, PNP Executive Director Coalition for Nurses in Advanced Practice www.cnaptexas.org 1 What is an APRN? RN with advanced education, national
More information-1609- BEFORE THE BOARD OF NURSING DEPARTMENT OF LABOR AND INDUSTRY STATE OF MONTANA ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) )
-1609- BEFORE THE BOARD OF NURSING DEPARTMENT OF LABOR AND INDUSTRY STATE OF MONTANA In the matter of the amendment of ARM 24.159.301 definitions, 24.159.1405, 24.159.1412 through 24.159.1414, 24.159.1418,
More informationSUBCHAPTER 1 GENERAL PROVISIONS
SUBCHAPTER 1 GENERAL PROVISIONS 17-87-101. License Required - Purpose. 17-87-102. Definitions. 17-87-103. Exceptions. 17-87-104. Penalty. 17-87-105. Injunction. 17-87-106. Construction of Chapter. 17-87-101.
More informationNP CE Requirements. California California Nurse Practitioners must complete 30 hours of continuing nursing education every two years.
NP CE Requirements Alabama Nurse practitioners will renew their license every two years. They must complete 24 hours of Board-approved continuing education. If they have prescriptive authority, 6 of the
More informationALABAMA BOARD OF NURSING ADMINISTRATIVE CODE CHAPTER 610-X-5 ADVANCED PRACTICE NURSING COLLABORATIVE PRACTICE TABLE OF CONTENTS
ALABAMA BOARD OF NURSING ADMINISTRATIVE CODE CHAPTER 610-X-5 ADVANCED PRACTICE NURSING COLLABORATIVE PRACTICE TABLE OF CONTENTS 610-X-5-.01 610-X-5-.02 610-X-5-.03 610-X-5-.04 610-X-5-.05 610-X-5-.06 610-X-5-.07
More information02- DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION. Chapter 8 REGULATIONS RELATING TO ADVANCED PRACTICE REGISTERED NURSING
02- DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION 380 BOARD OF NURSING Chapter 8 REGULATIONS RELATING TO ADVANCED PRACTICE REGISTERED NURSING SUMMARY: This chapter identifies the role of a registered
More informationSB 68 will not allow APRNs to provide care beyond their advanced education, training and national certification.
Michigan Senate Bill 68 of 2015 SB 68 - Amends the Michigan Public Health Code to provide licensure and DEFINE the scope of practice for Advanced Practice Registered Nurses who hold a specialty certification
More informationAdvanced Registered Nurse Practitioners. Dr. Liane Connelly Fort Hays State University
Advanced Registered Nurse Practitioners Dr. Liane Connelly Fort Hays State University What is an ARNP? In Kansas ARNPs are Registered Nurses with a Bachelor of Science in Nursing Degree They have completed
More informationTHE IMMUNIZATION LAW AND POLICY PROGRAM MILKEN INSTITUTE, SCHOOL OF PUBLIC HEALTH AND HEALTH SERVICES GEORGE WASHINGTON UNIVERSIY.
THE IMMUNIZATION LAW AND POLICY PROGRAM MILKEN INSTITUTE, SCHOOL OF PUBLIC HEALTH AND HEALTH SERVICES GEORGE WASHINGTON UNIVERSIY Standing Orders: Non-Physician Health Professionals & Immunization Practice
More informationReport of Preliminary Assessment for State Regulation Certified Lay Midwives
Report of Preliminary Assessment for State Regulation of Certified Lay Midwives Office of Professional Regulation November 1, 1999 Report of Preliminary Assessment for State Regulation of Certified Lay
More information34-21-82. Joint Committee Appointment, terms of office, office of chairperson, and meetings
ARTICLE 5 ADVANCED PRACTICE NURSING 34-21-80. Declaration of Legislature 34-21-81. Definitions 34-21-82. Joint Committee Appointment, terms of office, office of chairperson, and meetings 34-21-83. State
More informationBE IT ENACTED BY THE LEGISLATURE OF THE STATE OF ALASKA:
LAWS OF ALASKA 01 Source SB 1 Chapter No. AN ACT Relating to direct-entry midwives. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF ALASKA: THE ACT FOLLOWS ON PAGE 1 Enrolled SB 1 AN ACT 1 Relating to
More informationWhat Is a Nurse Practitioner?
CHAPTER 1 What Is a Nurse Practitioner? Individuals who have never experienced the care of a nurse practitioner (NP) whether they are physicians, reporters, lawmakers, bureaucrats, lobbyists, or new patients
More informationFederal Policy Update. ACNM Annual Conference Educational Session May 14, 2014
Federal Policy Update ACNM Annual Conference Educational Session May 14, 2014 Introduction Laura Jenson, CNM Chair, ACNM Government Affairs Committee Please join us Friday 4-6pm, Tower Bldg, Windows, Level
More informationSession 3 THIS INITIATIVE IS BEING SUPPORTED BY A SPONSORSHIP FROM PFIZER
Session 3 THIS INITIATIVE IS BEING SUPPORTED BY A SPONSORSHIP FROM PFIZER Disclosure The Immunization Action Coalition has been responsible for all aspects of content development for the enclosed presentation
More informationMoving Forward: Response of the American College of Nurse-Midwives to the Consensus Model
Moving Forward: Response of the American College of Nurse-Midwives to the Consensus Model Elaine Germano, CNM, DrPH, FACNM Senior Education Policy Advisor American College of Nurse-Midwives The Profession
More informationCHAPTER 152 SENATE BILL 1362 AN ACT
Senate Engrossed State of Arizona Senate Fiftieth Legislature Second Regular Session 0 CHAPTER SENATE BILL AN ACT AMENDING SECTION -0, ARIZONA REVISED STATUTES; AMENDING TITLE, CHAPTER, ARTICLE, ARIZONA
More informationPlanned Home Birth & Certified Professional Midwives. Russ Fawcett Vice President, The North Carolina Friends of Midwives 2012-Nov-13
Planned Home Birth & Certified Professional Midwives Russ Fawcett Vice President, The North Carolina Friends of Midwives 2012-Nov-13 Recent Epidemiology http://www.cdc.gov/nchs/data/databriefs/db84.htm
More informationMidwifery Education Pathways. Find your path
Midwifery Education Pathways Find your path What is a Midwife? Midwife = With Woman Midwives are professional experts in normal birth Midwives provide care and support to women through pregnancy, labor,
More informationFORT HAMILTON HOSPITAL DELINEATION OF CLINICAL PRIVILEGES & QUALIFICATIONS ADVANCED PRACTICE NURSE CERTIFIED NURSE-MIDWIFE (CNM)
Name FORT HAMILTON HOSPITAL DELINEATION OF CLINICAL PRIVILEGES & QUALIFICATIONS ELIGIBILITY REQUIREMENTS ADVANCED PRACTICE NURSE CERTIFIED NURSE-MIDWIFE (CNM) Required Qualifications: Demonstration of
More informationYour Telehealth Program:
3rd Annual Telehealth Summit of South Carolina Your Telehealth Program: Are You Compliant with the Legal and Regulatory Hurdles? What Do You Need to Know to Make Sure You Don t Trip? Greg Billings Executive
More informationRenown Regional Medical Center Department Of Obstetrics and Gynecology. Policies and Procedures Certified Nurse Midwives ( CNM S)
1. Overview: Department Of Obstetrics and Gynecology Policies and Procedures Certified Nurse Midwives ( CNM S) supports the practice of Nurse Midwifery and will participate with Certified Nurse Midwives
More informationMISSISSIPPI LEGISLATURE REGULAR SESSION 2015
MISSISSIPPI LEGISLATURE REGULAR SESSION 2015 By: Senator(s) Burton To: Public Health and Welfare SENATE BILL NO. 2096 1 AN ACT TO AMEND SECTIONS 73-15-5 AND 73-15-20, MISSISSIPPI 2 CODE OF 1972, TO DELETE
More informationHow To Work Together To Normalize Childbirth
Collaborative Practice between Certified Nurse-Midwives and Obstetricians and the Factors Involved in Working Together to Normalize Childbirth: An Integrative Review Kathleen Ann Menasche, DNP, CNM Coming
More informationPlease see Section IX. for Additional Information:
The Florida Senate BILL ANALYSIS AND FISCAL IMPACT STATEMENT (This document is based on the provisions contained in the legislation as of the latest date listed below.) BILL: CS/SB 614 Prepared By: The
More informationSession 3 THIS INITIATIVE IS BEING SUPPORTED BY A SPONSORSHIP FROM PFIZER
Session 3 THIS INITIATIVE IS BEING SUPPORTED BY A SPONSORSHIP FROM PFIZER Disclosure The Immunization Action Coalition has been responsible for all aspects of content development for the enclosed presentation
More informationALABAMA BOARD OF MEDICAL EXAMINERS ADMINISTRATIVE CODE CHAPTER 540-X-8 ADVANCED PRACTICE NURSES: COLLABORATIVE PRACTICE TABLE OF CONTENTS
Medical Examiners Chapter 540-X-8 ALABAMA BOARD OF MEDICAL EXAMINERS ADMINISTRATIVE CODE CHAPTER 540-X-8 ADVANCED PRACTICE NURSES: COLLABORATIVE PRACTICE TABLE OF CONTENTS 540-X-8-.01 540-X-8-.02 540-X-8-.03
More informationModel Regulation Service April 2005 GUIDELINES ON CORPORATE OWNED LIFE INSURANCE
Model Regulation Service April 2005 Corporate Owned Life Insurance (COLI) is life insurance a corporate employer buys covering one or more employees. With COLI, the employer is generally the applicant,
More informationModel Regulation Service - January 1993 GUIDELINES ON GIFTS OF LIFE INSURANCE TO CHARITABLE INSTITUTIONS
Model Regulation Service - January 1993 These Guidelines have been prepared for use by state insurance department personnel who may be presented with questions or concerns regarding charitable gifts of
More informationBEFORE THE ALABAMA BOARD OF NURSING IN THE MATTER OF: ) PETITION FOR ) DECLARATORY RULING STEVE SYKES, M.D., ) ) ) Petitioner. ) DECLARATORY RULING
BEFORE THE ALABAMA BOARD OF NURSING IN THE MATTER OF: ) PETITION FOR ) DECLARATORY RULING STEVE SYKES, M.D., ) ) ) Petitioner. ) DECLARATORY RULING COMES NOW the Alabama Board of Nursing, by and through
More informationThe Collaborative Models of Mental Health Care for Older Iowans. Model Administration. Collaborative Models of Mental Health Care for Older Iowans 97
6 The Collaborative Models of Mental Health Care for Older Iowans Model Administration Collaborative Models of Mental Health Care for Older Iowans 97 Collaborative Models of Mental Health Care for Older
More informationFREQUENTLY ASKED QUESTIONS REGARDING NURSE PRACTITIONER PRACTICE. Practice Questions
BUSINESS, CONSUMER SERVICES, AND HOUSING AGENCY GOVERNOR EDMUND G. BROWN JR. BOARD OF REGISTERED NURSING PO Box 944210, Sacramento, CA 94244-2100 P (916) 322-3350 F (916) 574-8637 www.rn.ca.gov Louise
More informationAdvanced Practice Nursing
Advanced Practice Nursing Interim Study Proposal 2007-238 December 18, 2008 Prepared for Rep. Sandra Prater and Rep. Clark Hall Bureau of Legislative Research Project Number 08-286 Table of Contents About
More informationDEPARTMENT OF REGULATORY AGENCIES. Division of Registrations
DEPARTMENT OF REGULATORY AGENCIES Division of Registrations 3 CCR 716-1 CHAPTER XV RULES AND REGULATIONS FOR PRESCRIPTIVE AUTHORITY FOR ADVANCED PRACTICE NURSES BASIS: The authority for the promulgation
More informationService Licenses and Renewal Requirements For New Permanent Services
SUBSTITUTE FOR HOUSE BILL NO. 4598 A bill to amend 1978 PA 368, entitled "Public health code," by amending sections 16192 and 16201 (MCL 333.16192 and 333.16201), section 16192 as amended by 2013 PA 268
More informationCareerOneStop (Example for Nursing)
CareerOneStop (Example for Nursing) Chris Jones (imaginary student) is interested in evaluating a career in nursing. Chris has underlined facts that are particularly important to him and has indicated
More informationAN ACT RELATING TO HEALTH INSURANCE; AMENDING A SECTION OF THE NEW MEXICO INSURANCE CODE TO PROVIDE FOR FREEDOM OF CHOICE OF
AN ACT RELATING TO HEALTH INSURANCE; AMENDING A SECTION OF THE NEW MEXICO INSURANCE CODE TO PROVIDE FOR FREEDOM OF CHOICE OF HOSPITAL AND PRACTITIONER TO INCLUDE LICENSED PROFESSIONAL MENTAL HEALTH COUNSELORS
More informationChapter 44a Nurse Midwife Practice Act. Part 1 General Provisions
Chapter 44a Nurse Midwife Practice Act Part 1 General Provisions 58-44a-101 Title. This chapter is the "Nurse Midwife Practice Act." Enacted by Chapter 187, 1994 General Session 58-44a-102 Definitions.
More informationCERTIFICATION REQUIREMENTS
Alabama Yes The Council on Certification of Nurse Anesthetists. [Alabama Board of Nursing Admin. Code, 610-X-9-.01(1)(d)] Alaska Yes Current national certification or recertification. [Professional Regulations,
More informationAN ACT IN THE COUNCIL OF THE DISTRICT OF COLUMBIA
AN ACT IN THE COUNCIL OF THE DISTRICT OF COLUMBIA Codification District of Columbia Official Code 2001 Edition 2009 Summer Supp. West Group Publisher To amend the District of Columbia Health Occupations
More informationRegions Hospital Delineation of Privileges Nurse Practitioner
Regions Hospital Delineation of Privileges Nurse Practitioner Applicant s Last First M. Instructions: Place a check-mark where indicated for each core group you are requesting. Review education and basic
More informationThank you for coming to our San Diego Workshop THIS INITIATIVE IS BEING SUPPORTED BY A SPONSORSHIP FROM PFIZER
Thank you for coming to our San Diego Workshop THIS INITIATIVE IS BEING SUPPORTED BY A SPONSORSHIP FROM PFIZER Session 3 THIS INITIATIVE IS BEING SUPPORTED BY A SPONSORSHIP FROM PFIZER Disclosure The Immunization
More informationOutpatient/Ambulatory Health Services
Outpatient/Ambulatory Health Services Service Definition Outpatient/ambulatory medical care includes the provision of professional diagnostic and therapeutic services rendered by a physician, physician
More informationState Regulation of Practice and the Utilization of Nurse Midwives for Medicaid Funded Prenatal Care
State Regulation of Practice and the Utilization of Nurse Midwives for Medicaid Funded Prenatal Care Andrea Sonenberg, NP, CNM, DNSc Assistant Professor Lienhard School of Nursing Pace University Pleasantville,
More informationADULT PROTECTIVE SERVICES, INSTITUTIONAL ABUSE AND LONG TERM CARE OMBUDSMAN PROGRAM LAWS: CITATIONS, BY STATE
ADULT PROTECTIVE SERVICES, INSTITUTIONAL ABUSE AND LONG TERM CARE OMBUDSMAN PROGRAM LAWS: CITATIONS, BY STATE (Laws current as of 12/31/06) Prepared by Lori Stiegel and Ellen Klem of the American Bar Association
More informationMidwifery Education Trends Report 2013 Currently, there is a national shortage of providers of primary and reproductive health care
Midwifery Education Trends Report 2013 Currently, there is a national shortage of providers of primary and reproductive health care for women. Certified nurse-midwives and certified midwives (CNMs/CMs)
More informationNurse-Midwifery Education in Georgia: Immense Potential
Nurse-Midwifery Education in Georgia: Immense Potential MaryJane Lewitt, PhD, APRN, CNM, FACNM Nurse-Midwifery Program Director Emory University Nell Hodgson Woodruff School of Nursing Presentation Goals
More informationRegions Hospital Delineation of Privileges Certified Nurse Midwife
Regions Hospital Delineation of Privileges Certified Nurse Midwife Applicant s Name: Last First M. Instructions: Place a check-mark where indicated for each core group you are requesting. Review education
More informationNurse Practitioners and Physician Assistants as Billing Providers
Office of Origin: UCSF Clinical Enterprise Compliance Program I. PURPOSE To establish guidelines for UCSF Nurse Practitioners (NP) and Physician Assistants (PA) to bill Medicare, Medi-Cal and other payors
More informationCURRICULUM VITAE EDUCATION. Baylor College of Medicine, Certified Nurse Midwifery Program 1987 LICENSURE/CERTIFICATIONS
CURRICULUM VITAE Patricia Jones, CNM 1826 Portsmouth Houston, Texas 77098 EDUCATION Baylor College of Medicine, Certified Nurse Midwifery Program 1987 LICENSURE/CERTIFICATIONS Advanced Registered Nurse
More informationMandatory Reporting of Child Abuse 6/2009 State Mandatory Reporters Language on Privilege Notes Alabama
Alabama any other person called upon to render aid to any child ALA. CODE 26-14-10 Alaska ALA. CODE 26-14-3(a) paid employees of domestic violence and sexual assault programs, and crisis intervention and
More informationRegistered Midwife Clinical Privileges REAPPOINTMENT 2015-2016 Effective from July 1, 2015 to June 30, 2016
Name: Initial privileges (initial appointment) Renewal of privileges (reappointment) All new applicants must meet the following requirements as approved by the governing body, effective: 04/Jun/2013. Applicant:
More informationADVANCED EDUCATION REQUIREMENTS
EDUCATION REQUIREMENTS STATE Alabama Yes The applicant for approval to practice as a certified registered nurse anesthetist shall have... [e]arned at least a master's degree, or post-master's certificate
More informationARIZONA STATE SENATE Fifty-Second Legislature, Second Regular Session
Assigned to HHS FOR COMMITTEE ARIZONA STATE SENATE Fifty-Second Legislature, Second Regular Session FACT SHEET FOR registered nurses; advanced practice Purpose Modifies statutes related to the licensing
More informationDEPARTMENT OF SOCIAL SERVICES AUDIT PROTOCOL PHYSICIAN SERVICES UPDATED FEBRUARY 1, 2015
DEPARTMENT OF SOCIAL SERVICES AUDIT PROTOCOL PHYSICIAN SERVICES UPDATED FEBRUARY 1, 2015 Listed are the most common audit findings noted for physician services provided under the State Medicaid program,
More informationPlace of Service Codes for Professional Claims Database (updated November 1, 2012)
Place of Codes for Professional Claims Database (updated November 1, 2012) Listed below are place of service codes and descriptions. These codes should be used on professional claims to specify the entity
More informationLEGISLATIVE BILL 916
LB LB LEGISLATURE OF NEBRASKA ONE HUNDRED THIRD LEGISLATURE SECOND SESSION LEGISLATIVE BILL Introduced by Crawford, ; Campbell, ; Gloor,. Read first time January, 0 Committee: Health and Human Services
More informationRULES OF THE ALABAMA BOARD OF MEDICAL EXAMINERS
RULES OF THE ALABAMA BOARD OF MEDICAL EXAMINERS CHAPTER 540-X-18 QUALIFIED ALABAMA CONTROLLED SUBSTANCES REGISTRATION CERTIFICATE (QACSC) FOR CERTIFIED REGISTERED NURSE PRACTITIONERS (CRNP) AND CERTIFIED
More informationPlace of Service Codes for Professional Claims Database (updated August 6, 2015)
Place of Codes for Professional Claims Database (updated August 6, 2015) Listed below are place of service codes and descriptions. These codes should be used on professional claims to specify the entity
More informationNURSE PRACTITIONER - Bilingual
B023B Revised: 2/11/98 Updated: 03/11/02 Updated 09/14/06 NURSE PRACTITIONER - Bilingual DEFINITION To perform specialized clinician and counseling duties related to patient care in clinics; and to perform
More informationCHAPTER 54-05-03.1 ADVANCED PRACTICE REGISTERED NURSE
CHAPTER 54-05-03.1 ADVANCED PRACTICE REGISTERED NURSE Section 54-05-03.1-01 Statement of Intent 54-05-03.1-02 Board Authority - Title - Abbreviation 54-05-03.1-03 De nitions [Repealed] 54-05-03.1-03.1
More informationBOARD OF MEDICINE: 2009 SCOPE OF PRACTICE: A COMPARISON OF FLORIDA HEALTHCARE PRACTITIONERS
BOARD OF MEDICINE: 2009 SCOPE OF PRACTICE: A COMPARISON OF FLORIDA HEALTHCARE PRACTITIONERS Anesthesiologist Assistant Medicine - Medical Doctor Medicine - House Physician PROFESSIONS Anesthesiologist
More informationSUMMARY OF LAWS & GUIDELINES Payment of Sexual Assault Forensic Examinations CURRENT AS OF FEBRUARY 2012
SUMMARY OF LAWS & GUIDELINES Payment of Sexual Assault Forensic Examinations CURRENT AS OF FEBRUARY 2012 AEQUITAS: THE PROSECUTORS RESOURCE ON VIOLENCE AGAINST WOMEN 1100 H STREET NW, SUITE 310 WASHINGTON,
More informationNP CE Requirements. Arizona - APNs initially licensed on/before 7/1/04 must complete one of the following to renew:
NP CE Requirements Alabama - Nurse practitioners will renew their license every two years. They must complete 24 hours of Board-approved continuing education. If they have prescriptive authority, 6 of
More information